Advanced Cardiac Life Support The Practical Approach

by Advanced Life-Support Group; Driscoll, Peter; Gwinnutt, Carl; Mackway-Jones, Kevin; Wardle, Terry

• ISBN13: 9780412710902
• ISBN10: 0412710900
• Edition: 2nd
• Format: Paperback
• Copyright: 1997-06-01
• Publisher: Hodder Education Publishers

Summary

Textbook for doctors, nurses, and paramedics on the safe and effective management of cardiac emergencies. U.K. perspective. Previous edition: c1993. Softcover.

Table of Contents

Contributors	ix	(2)
Preface	xi	(1)
Acknowledgements	xii
Section One - Introduction	1	(56)
Chapter 1 Introduction	3	(4)
An overview of the epidemiology and aetiology of heart disease
An overview of the pathophysiology of heart disease
The activities required in managing a cardiac arrest
The history of advanced cardiac life support
The aims of the book
Chapter 2 The natural history of myocardial infarction	7	(10)
Introduction
Epidemiology of myocardial infarction
Pathophysiology
Clinical recognition of myocardial infarction
Management
Post-infarct complications
Psychological aspects of myocardial infarction
Summary
References
Chapter 3 Pharmacology	17	(20)
Introduction
Individual drugs
Paediatric doses
Summary
References
Chapter 4 Acid-base balance and blood gas analysis	37	(20)
Terminology
Acid production and its removal
Central venous and arterial blood samples
A Systematic approach for analysing a blood gas sample
Management of acidosis due to a cardiopulmonary arrest
Summary
Section Two - Life support	57	(98)
Chapter 5 Basic life support	59	(18)
Introduction
Reason for basic life support
The SAFE approach
Patient evaluation
The ABCs
The recovery position
The choking patient
Summary
Chapter 6 Airway control and ventilation	77	(14)
Airway obstruction
Airway adjuncts
Ventilatory support
Advanced airway control and ventilation
Alternatives to tracheal intubation
Ventilation
Suction
Summary
Chapter 7 Access to the Circulation	91	(8)
Venous access
Peripheral venous cannulation
Cutdown
Central venous cannulation
Intraosseous route
Summary
Chapter 8 Cardiac monitoring and rhythm recognition	99	(24)
Cardiac electrical activity: its origin and organization
Pathology of the conducting system
Causes of dysrhythmias
Monitoring cardiac electrical activity
A systematic approach to interpreting a rhythm strip
Summary
Chapter 9 Treatment protocols	123	(14)
Introduction
Cardiac arrest rhythms
Peri-arrest rhythms
Chapter 10 Post-resuscitation care	137	(10)
Spectrum of outcomes
Initial assessment
Care of the optimally resuscitated patient
Care of the patient requiring organ support
Respiratory support
Cardiovascular support
Renal support
Neurological support
Gastrointestinal support
Summary
Chapter 11 Cardiopulmonary resuscitation - putting it all together	147	(8)
The sequence of management of cardiopulmonary resuscitation
The resuscitation team
The team leader
Summary
Section Three - Special situations	155	(50)
Chapter 12 Paediatric life support	157	(24)
Causes of cardiac arrest in childhood
Recognition of respiratory and circulatory failure
Basic life support in children
Patient evaluation
Advanced support of the airway and ventilation
The management of cardiac arrest
Other dysrhythmias in childhood
Post-resuscitation care
When to stop resuscitation
Summary
Chapter 13 Special situations	181	(24)
Near drowning
Hypothermia
Pregnancy
Drug overdoses
Trauma
Electrical injuries
Smoke inhalation
Volatile substance abuse
Anaphylaxis
Summary
Section Four - Practical - Procedures	205	(32)
Chapter 14 Procedures - airway control and ventilation	207	(14)
Oropharyngeal airway
Nasopharyngeal airway
Laerdal Pocket Mask
Orotracheal intubation
Surgical airway
Chapter 15 Procedures - access to the circulation	221	(8)
Peripheral venous cannulation
Cutdown
Central venous cannulation
Intraosseous route
Chapter 16 Procedures - treatment protocols	229	(8)
External pacing
Defibrillation
Needle thoracocentesis
Chest drain insertion
Pericardiocentesis
Taking an arterial blood gas sample
Section Five - Appendices	237	(18)
Appendix A If you don't succeed	239	(8)
Emotional crisis: nurse intervention
Seeing is believing
The philosophy of caring for relatives - cultural and religious aspects
Communication - breaking bad news
Saying `goodbye' - viewing the dead person
The role of the coroner
Further support
Staff response to death
Help groups
Summary
References and further reading
Appendix B Ethical and legal considerations in resuscitation	247	(8)
Legal background
Potential pitfalls in resuscitation
Conclusion
References
Index	255